Latest & greatest articles for nursing

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Top results for nursing

961. Feasibility and effects of nurse run clinics for patients with epilepsy in general practice: randomised controlled trial. Epilepsy Care Evaluation Group. Full Text available with Trip Pro

Feasibility and effects of nurse run clinics for patients with epilepsy in general practice: randomised controlled trial. Epilepsy Care Evaluation Group. To test the feasibility and effect of nurse run epilepsy clinics in primary care.A randomised controlled trial of nurse run clinics versus "usual care."Six general practices in the South Thames region.251 patients aged over 15 years who were taking anti-epileptic drugs or had a diagnosis of epilepsy and an attack in the past two years who met (...) specified inclusion criteria and had responded to a questionnaire.Questionnaire responses and recording of key variables extracted from the clinical records before and after the intervention.127 patients were randomised to a nurse run clinic, of whom 106 (83%) attended. The nurse wrote 28 letters to the general practitioners suggesting changes in epilepsy management. For this intervention group compared with the usual care group there was a highly significant improvement in the level of advice recorded

1997 BMJ Controlled trial quality: uncertain

962. Effect of prenatal and infancy home visitation by nurses on pregnancy outcomes, childhood injuries, and repeated childbearing. A randomized controlled trial. (Abstract)

Effect of prenatal and infancy home visitation by nurses on pregnancy outcomes, childhood injuries, and repeated childbearing. A randomized controlled trial. Interest in home-visitation services as a way of improving maternal and child outcomes has grown out of the favorable results of a trial in semirural New York. The findings have not been replicated in other populations.To test the effect of prenatal and infancy home visits by nurses on pregnancy-induced hypertension, preterm delivery (...) , and low birth weight; on children's injuries, immunizations, mental development, and behavioral problems; and on maternal life course.Randomized controlled trial.Public system of obstetric care in Memphis, Tenn.A total of 1139 primarily African-American women at less than 29 weeks' gestation, with no previous live births, and with at least 2 sociodemographic risk characteristics (unmarried, <12 years of education, unemployed).Nurses made an average of 7 (range, 0-18) home visits during pregnancy

1997 JAMA Controlled trial quality: uncertain

963. Randomised trial of home-based psychosocial nursing intervention for patients recovering from myocardial infarction. (Abstract)

Randomised trial of home-based psychosocial nursing intervention for patients recovering from myocardial infarction. Increases in life stress have been linked to poor prognosis, after myocardial infarction (MI). Previous research suggested that a programme of monthly screening for psychological distress, combined with supportive and educational home nursing interventions for distressed patients, may improve post-MI survival among men. Our study assessed this approach for both men and women. We (...) vs 5.0%, p = 0.064) and all-cause mortality (10.3 vs 5.4%, p = 0.051) among women in the intervention group. There was no evidence of either benefit or harm among men (cardiac mortality 2.4 vs 2.5%, p = 0.94; all-cause mortality 3.1 vs 3.1%, p = 0.93). The programme's impact on depression and anxiety among survivors was small.Our results do not warrant the routine implementation of programmes that involve psychological-distress screening and home nursing intervention for patients recovering from

1997 Lancet Controlled trial quality: uncertain

964. A randomized trial of a consultation service to reduce falls in nursing homes. (Abstract)

A randomized trial of a consultation service to reduce falls in nursing homes. Falls are a major health problem in nursing homes, but no interventions have been shown to prevent falls in nursing home residents.To evaluate an intervention program designed to prevent falls and associated injuries in high-risk nursing home residents.Randomized controlled trial.Seven pairs of middle Tennessee nursing homes with 1 facility in each pair randomly assigned to the intervention. Facilities had 482 (261 (...) suggested greatest benefits for residents for whom the recommended interventions were carried out or who had 3 or more falls in the preceding year.The high rate of falls and related injuries in nursing homes should not be viewed as inevitable, but as outcomes that can be substantially improved through structured safety programs.

1997 JAMA Controlled trial quality: predicted high

965. Costs and effectiveness of a nurse specialist anticoagulant service

Costs and effectiveness of a nurse specialist anticoagulant service Costs and effectiveness of a nurse specialist anticoagulant service Costs and effectiveness of a nurse specialist anticoagulant service Taylor F C, Gray A, Cohen H, Gaminara L, Ramsay M, Miller D Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical (...) assessment on the reliability of the study and the conclusions drawn. Health technology A nurse specialist service in anticoagulation treatment. Type of intervention Secondary prevention. Economic study type Cost-effectiveness analysis. Study population Patients referred to anticoagulant clinics for anticoagulation treatment. Setting Institution. The economic study was performed in the UK. Dates to which data relate The authors did not clearly establish the dates to which effectiveness data referred

1997 NHS Economic Evaluation Database.

966. A randomized trial of early discharge and nurse specialist transitional follow-up care of high-risk childbearing women

A randomized trial of early discharge and nurse specialist transitional follow-up care of high-risk childbearing women A randomized trial of early discharge and nurse specialist transitional follow-up care of high-risk childbearing women A randomized trial of early discharge and nurse specialist transitional follow-up care of high-risk childbearing women York R, Brown L P, Samuels P, Finkler S A, Jacobsen B, Persely C A, Swank A, Robbins D Record Status This is a critical abstract (...) of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology A model of transitional care (in-hospital education combined with home visits and telephone contacts) provided by perinatal nurse specialists in two groups of high-risk childbearing women (groups of women diagnosed with diabetes

1997 NHS Economic Evaluation Database.

967. Cost and benefit of the trained laparoscopic team: a comparative study of a designated nursing team vs a nontrained team

Cost and benefit of the trained laparoscopic team: a comparative study of a designated nursing team vs a nontrained team Cost and benefit of the trained laparoscopic team: a comparative study of a designated nursing team vs a nontrained team Cost and benefit of the trained laparoscopic team: a comparative study of a designated nursing team vs a nontrained team Kenyon T A, Lenker M P, Bax T W, Swanstrom L L Record Status This is a critical abstract of an economic evaluation that meets (...) approach to the staffing of laparoscopic cholecystectomy of symptomatic cholelithiasis. Source of funding None stated. Bibliographic details Kenyon T A, Lenker M P, Bax T W, Swanstrom L L. Cost and benefit of the trained laparoscopic team: a comparative study of a designated nursing team vs a nontrained team. Surgical Endoscopy - Ultrasound and Interventional Techniques 1997; 11(8): 812-814 Indexing Status Subject indexing assigned by NLM MeSH Cholecystectomy, Laparoscopic; Comparative Study; Cost

1997 NHS Economic Evaluation Database.

968. A cost-effectiveness analysis of neonatal nurse practitioners

A cost-effectiveness analysis of neonatal nurse practitioners A cost-effectiveness analysis of neonatal nurse practitioners A cost-effectiveness analysis of neonatal nurse practitioners Bissinger R L, Allred C A, Arford P H, Bellig L L Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability (...) sample size. The weights used for calculating the quality index were based on the subjective judgement of 10 experts. A sensitivity analysis on this parameter could have been conducted. Implications of the study The study should be replicated across different NICU settings with larger samples. Source of funding None stated. Bibliographic details Bissinger R L, Allred C A, Arford P H, Bellig L L. A cost-effectiveness analysis of neonatal nurse practitioners. Nursing Economic$ 1997; 15(2): 92-99

1997 NHS Economic Evaluation Database.

969. Specialist nurse support for patients with stroke in the community: a randomised controlled trial. Full Text available with Trip Pro

Specialist nurse support for patients with stroke in the community: a randomised controlled trial. To evaluate whether specialist nurse visits enhance the social integration and perceived health of patients with stroke or alleviate stress in carers in longer term stroke care.Stratified randomised controlled trial; both groups assessed at time of recruitment and at 3, 6, and 12 months.Patients with disability related to new stroke who lived in their own homes in the Bradford Metropolitan (...) District.240 patients aged 60 years or over, randomly allocated to control group (n = 120) or intervention group (n = 120). Intervention--Visits by specialist outreach nurses over 12 months to provide information, advice, and support; minimum of six visits during the first six months. The control group received no visits.The Barthel index (functional ability), the Frenchay activities index (social activity), the Nottingham health profile (perceived health status). Stress among carers was indicated

1996 BMJ Controlled trial quality: predicted high

970. Costs and cost effectiveness of health checks conducted by nurses in primary care: the Oxcheck study. Full Text available with Trip Pro

Costs and cost effectiveness of health checks conducted by nurses in primary care: the Oxcheck study. To measure the costs and cost effectiveness of the Oxcheck cardiovascular risk factor screening and intervention programme.Cost effectiveness analysis of a randomised controlled trial using clinical and economic data taken from the trial.Five general practices in Luton and Dunstable, England.2205 patients who attended a health check in 1989-90 and were scheduled for re-examination in 1992-3 (...) (intervention group); 1916 patients who attended their initial health check in 1992-3 (control group). Participants were men and women aged 35-64 years.Health check conducted by nurse, with health education and follow up according to degree of risk.Cost of health check programme; cost per 1% reduction in coronary risk.Health check and follow up cost 29.27 pounds per patient. Estimated programme cost per 1% reduction in coronary risk per participant was between 1.46 pounds and 2.25 pounds; it was nearly

1996 BMJ Controlled trial quality: uncertain

971. Randomised trial of prophylactic early fresh-frozen plasma or gelatin or glucose in preterm babies: outcome at 2 years. Northern Neonatal Nursing Initiative Trial Group. (Abstract)

Randomised trial of prophylactic early fresh-frozen plasma or gelatin or glucose in preterm babies: outcome at 2 years. Northern Neonatal Nursing Initiative Trial Group. Preterm babies are at risk of haemorrhagic and ischaemic brain injury. One controlled trial suggested that prophylactic fresh-frozen plasma (FFP) may reduce that risk but did not clarify whether the reduction in periventricular haemorrhage seen on ultrasonography was due to a haemostatic effect or stabilisation of intravascular

1996 Lancet Controlled trial quality: predicted high

972. A family intervention to delay nursing home placement of patients with Alzheimer disease. A randomized controlled trial. (Abstract)

A family intervention to delay nursing home placement of patients with Alzheimer disease. A randomized controlled trial. To determine the long-term effectiveness of comprehensive support and counseling for spouse-caregivers and families in postponing or preventing nursing home placement of patients with Alzheimer disease (AD).Randomized controlled intervention study.Outpatient research clinic in the New York City metropolitan area.Referred, volunteer sample of 206 spouse-caregivers of AD (...) patients who enrolled in the study during a 3 1/2-year period. All patients were living at home at baseline and had at least 1 relative living in the area.Caregivers in the treatment group were provided with 6 sessions of individual and family counseling within 4 months of enrollment in the study and were required to join support groups. In addition, counselors were available for further counseling at any time.Time from enrollment of caregivers in the study to placement of the AD patients in a nursing

1996 JAMA Controlled trial quality: predicted high

973. Outcomes of enhanced physical and occupational therapy service in a nursing home setting

Outcomes of enhanced physical and occupational therapy service in a nursing home setting Outcomes of enhanced physical and occupational therapy service in a nursing home setting Outcomes of enhanced physical and occupational therapy service in a nursing home setting Przybylski B R, Dumont E D, Watkins M E, Warren S A, Beaulne A P, Lier D A Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary (...) of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Physical therapy (PT) and occupational therapy (OT) services for the rehabilitation of elderly nursing-home residents. Type of intervention Rehabilitation. Economic study type Cost-effectiveness analysis. Study population Residents of a nursing home. The average age of the intervention group was 83 years (range: 62 - 97) and of the control group

1996 NHS Economic Evaluation Database.

974. The effectiveness of community mental health nursing: a review

The effectiveness of community mental health nursing: a review The effectiveness of community mental health nursing: a review The effectiveness of community mental health nursing: a review Brooker C, Repper J, Booth A Authors' objectives To assess the effectiveness of community mental health nursing interventions. Searching MEDLINE, EMBASE, PsycLIT, CINAHL, RCN Nurse ROM, the Science Citation Index, Social Sciences Citation Index, DHS Database, ASSIA, the Cochrane Database of Systematic Reviews (...) , DARE and NHS EED were searched for UK-based studies. Additional studies were located by handsearching the International Nursing Index and a community mental health nursing bibliography. Searches were performed from 1966 onwards, dependent on each individual database; examples of the search strategies are provided. Study selection Study designs of evaluations included in the review Randomised controlled trials (RCTs) or quasi-randomised trials were included. Specific interventions included

1996 DARE.

975. Continuing pain education in nursing: a literature review

Continuing pain education in nursing: a literature review Continuing pain education in nursing: a literature review Continuing pain education in nursing: a literature review Francke A L, Garssen B, Abu-Saad H H Authors' objectives To review the effects on patients' well-being (pain) of nurse continuing education. Searching MEDLINE, PsycLIT and ERIC were searched from 1981 to June 1995 (no search terms stated). Additional material was located by searching the Journal of Continuing Education (...) in Nursing, the Journal of Nursing Staff Development, and references from a previous meta-analysis. Study selection Study designs of evaluations included in the review Uncontrolled and controlled studies were included. Incomplete studies and those for which too much relevant information about the intervention, research methods or findings was lacking, were excluded. Specific interventions included in the review Continuing education programmes about pain for nurses. The courses varied in content (e.g

1996 DARE.

976. Examining effectiveness of community mental health nursing

Examining effectiveness of community mental health nursing Examining effectiveness of community mental health nursing Examining effectiveness of community mental health nursing Brooker C, Repper J, Booth A Authors' objectives To examine the effectiveness of community mental health nursing interventions. Searching The sources searched included MEDLINE, EMBASE, PsycLIT, CINAHL, RCN Nurse ROM, the Science Citation Index, the Social Science Citation Index, DHSS Data, ASSIA, the Cochrane Database (...) of Systematic Reviews, DARE and NHS EED. A manual search of the International Nursing Index was performed, and a community mental health nursing bibliography was examined. The search terms are provided. Study selection Study designs of evaluations included in the review Randomised controlled trials (RCTs) were included. Specific interventions included in the review Community mental health nursing interventions; little information is given about the primary studies. Participants included in the review

1996 DARE.

977. Are non-pharmacological nursing interventions for the management of pain effective: a meta-analysis

Are non-pharmacological nursing interventions for the management of pain effective: a meta-analysis Are non-pharmacological nursing interventions for the management of pain effective: a meta-analysis Are non-pharmacological nursing interventions for the management of pain effective: a meta-analysis Sindhu F Authors' objectives To assess the effectiveness of non-pharmacological nursing interventions in the management of acute pain. Searching MEDLINE, CINAHL, PsycLIT, BIOSIS Previews (...) and Dissertation Abstracts were searched from 1960 onwards. Additional relevant published and unpublished studies were identifed by examining reference lists of retrieved articles, by manually searching key journals, and by contacting experts in the field. Study selection Study designs of evaluations included in the review Randomised controlled trials (RCTs) were included. Specific interventions included in the review Non-pharmacological nursing interventions in the management of acute pain, which included

1996 DARE.

978. A controlled trial of nurse practitioners in neonatal intensive care

A controlled trial of nurse practitioners in neonatal intensive care A controlled trial of nurse practitioners in neonatal intensive care A controlled trial of nurse practitioners in neonatal intensive care Mitchell-DiCenso A, Guyatt G, Marrin M, Goeree R, Willan A, Southwell D, Hewson S, Paes B, Rosenbaum P, Hunsberger M, Baumann A Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary (...) of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology A clinical nurse specialist/neonatal practitioner team (CNS/NP) in the delivery of neonatal intensive care in a tertiary care setting. Type of intervention Diagnosis; treatment. Economic study type Cost-effectiveness analysis. Study population Critically-ill neonates of both sexes were the subject of the study. Setting A 33-bed tertiary level

1996 NHS Economic Evaluation Database.

979. Costs and cost effectiveness of health checks conducted by nurses in primary care: the Oxcheck study

Costs and cost effectiveness of health checks conducted by nurses in primary care: the Oxcheck study Costs and cost effectiveness of health checks conducted by nurses in primary care: the Oxcheck study Costs and cost effectiveness of health checks conducted by nurses in primary care: the Oxcheck study Langham S, Thorogood M, Normand C, Muir J, Jones L, Fowler G Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract (...) contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Healthchecks with education and follow-up for patients with high risk factor levels, carried out by nurses to identify patients with high level of serum total cholesterol concentration. Type of intervention Primary prevention. Economic study type Cost-effectiveness analysis. Study population Registered patients

1996 NHS Economic Evaluation Database.

980. Role of nursing personnel in implementing clinical pathways and decreasing hospital costs for major vascular surgery

Role of nursing personnel in implementing clinical pathways and decreasing hospital costs for major vascular surgery Role of nursing personnel in implementing clinical pathways and decreasing hospital costs for major vascular surgery Role of nursing personnel in implementing clinical pathways and decreasing hospital costs for major vascular surgery Calligaro K D, Miller P, Dougherty M J, Raviola C A, DeLaurentis D A Record Status This is a critical abstract of an economic evaluation that meets (...) the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Establishing clinical pathways and a dedicated vascular wing in collaboration with key nursing personnel to reduce resource utilisation and costs in the treatment of patients admitted for major vascular surgery including elective extracranial (EC) arterial surgery

1996 NHS Economic Evaluation Database.